Type 2 Diabetes Mellitus in Medicine / Internal Medicine — 61yo Man | Cardiology | SMLE Q#1052
SMLE Question #1052
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 61-year-old man with type 2 diabetes mellitus and long-standing hypertension attends a routine follow-up. He is asymptomatic and exercises daily without limitation. His medications are metformin and amlodipine. Transthoracic echocardiography shows left ventricular dilatation with a left ventricular ejection fraction of 40%. ECG shows normal sinus rhythm without acute changes. What is the most appropriate next step in management?
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